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Voiding patterns and urodynamics after a tension-free vaginal tape procedure
Ahmed Al-Badr1, Sue Ross, Dana Soroka
1Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|September 13, 2003
Summary
The tension-free vaginal tape (TVT) procedure shows an 85% success rate for stress urinary incontinence (SUI) within one year. While temporary voiding issues are common, long-term complications are low.
Area of Science:
- Urology
- Gynecology
- Pelvic Floor Surgery
Background:
- Stress urinary incontinence (SUI) significantly impacts women's quality of life.
- The tension-free vaginal tape (TVT) procedure is a common surgical intervention for SUI.
Purpose of the Study:
- To assess urodynamic changes, treatment success, and complications following the TVT procedure for SUI.
Main Methods:
- Prospective follow-up of 63 women who underwent TVT for SUI.
- Analysis of pre- and postoperative clinical data using statistical tests.
Main Results:
- An 85% success rate was observed at 6 months to 1 year post-TVT.
- Short-term voiding dysfunction occurred in 49% but resolved by 12 weeks.
- Urodynamics showed decreased maximum flow rate and increased post-void residual urine volume at 1 year.
Conclusions:
- TVT demonstrates good short-term efficacy for SUI.
- Low long-term morbidity is anticipated.
- Temporary voiding dysfunction rates were higher than previously reported.